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office@ambdentalsedation.com

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Santa Barbara, Ventura, Los Angeles, Southern California

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  • About Us3
    • Meet3
      • Dr. Chen
      • Dr. Mohseni
  • Services3
    • For Patients3
      • Finance & Insurance
      • Dental Sedation
      • New Patient Forms
      • Need a Referral?
      • Before Treatment
      • Frequent Patient Questions
    • For Dentists3
      • Partner With Us
      • Special Needs Dentistry
      • Partner Questions
  • IV Vitamin Infusion
  • Contact Us
  • Home
  • About Us3
    • Meet3
      • Dr. Chen
      • Dr. Mohseni
  • Services3
    • For Patients3
      • Finance & Insurance
      • Dental Sedation
      • New Patient Forms
      • Need a Referral?
      • Before Treatment
      • Frequent Patient Questions
    • For Dentists3
      • Partner With Us
      • Special Needs Dentistry
      • Partner Questions
  • IV Vitamin Infusion
  • Contact Us
  • Home
  • About Us3
    • Meet3
      • Dr. Chen
      • Dr. Mohseni
  • Services3
    • For Patients3
      • Finance & Insurance
      • Dental Sedation
      • New Patient Forms
      • Need a Referral?
      • Before Treatment
      • Frequent Patient Questions
    • For Dentists3
      • Partner With Us
      • Special Needs Dentistry
      • Partner Questions
  • IV Vitamin Infusion
  • Contact Us

New Patient Forms

Contact Us

Download our patient forms

Please fill out and print our patient forms prior to your first appointment.

Medical History Form
Pediatric Consent Form
Adult Consent Form
HIPAA Form

Frequently Asked Questions

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Finance & Dental Insurance

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Before Your Treatment

$

Patient Reviews

$

Contact Info

Office: (805) 480-0092

Fax: (805) 480-0998

Email: office@ambdentalsedation.com

Services

Dr. Chen

Dr. Mohseni

IV Vitamin Infusion

Special Needs Dentistry

Important Links

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  • ADA Compliance
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